NURSING 2A04 Study Guide - Final Guide: Antihistamine, Hemolysis, Tachycardia
2 May 2016
School
Department
Course
Professor
Document Summary
Hemolytic reaction: incompatibility between client"s blood and donor"s blood. Fever or chills, flank pain, and reddish or brown urine, tachycardia, hypotension: discontinue the transfusion immediately. Note: when the transfusion is discontinued, the blood tubing must be removed as well. Febrile reaction: sensitivity of the client"s blood to white blood cells, platelets, or plasma proteins; does not cause hemolysis. Fever; chills; warm, flushed skin; headache; anxiety; nausea: discontinue the transfusion immediately, keep the vein open with a normal saline infusion, notify the primary care provider, give antipyretics as ordered. Allergic reaction (mild): sensitivity to infused plasma proteins. Dyspnea, stridor, decreased oxygen saturation, chest pain, flushing. Dyspnea, hypotension, blood administered faster than the circulation can accommodate orthopnea, crackles (rales), distended neck veins. tachycardia, hypertension. High fever, chills, vomiting, diarrhea, hypotension, oliguria: stop the transfusion immediately. *nurses should follow the agency"s protocol regarding interventions.
